Abstract
MILITARY physicians now are recommending an additional 2-week course of daily treatment with 15 mg of primaquine phosphate (Sanofi Winthrop Pharmaceuticals, New York, NY), ensure eradication of any remaining [ Plasmodium ] vivax malaria parasites among US armed services women and men returning from Somalia in northeast Africa. The Office of the Surgeon General of the US Army (Alcide M. LaNoue, MD, a lieutenant general) Falls Church, Va, says that, to date, 41 cases of malaria been diagnosed among soldiers who became ill after their return to the United States ( JAMA . 1993;269:2833-2838). Most of these patients are from units now at Ft Drum, Watertown, NY, that were deployed to the Jubba Valley region of southern Somalia. Index of Suspicion The Army surgeon general says that all the infected soldiers so far have responded well to treatment, although military physicians of course are watching closely for possibly resistant strains of malaria.
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